Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15961 | Date 29/08/2025 |
| Token No | SM/25-26/5444 29/08/2025 | Serial | 059 Last Visit: 29/08/2025 |
| Patient Name | Baby ATRIJA PATRA | Contact No | 8013954944 |
| Address | 18 G T ROAD BAIDYABATI (M) | Age | 2 Years,10 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||